| Name | STEVEN R. HENRIKSEN |
|---|---|
| Address | 5300 DEL REY AVE. |
| City | LAS VEGAS |
| State | NV |
| Zip | 89146 |
| Mailing Address | 889S. RAINBOW BLVD. STE.#585 |
| Mailing Address 2 | 889S. RAINBOW BLVD. STE.#585 |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89145 |
| Agent Type | Noncommercial Registered Agent |
| Company | AMERICAN DENTAL SOCIETY, INC. |
|---|---|
| Entity Number | C21321-2002 |
| NV Business ID | NV20021406472 |